go back

Postdischarge In-Home Visit, New Patient, Comprehensive

Florida rates for HCPCS G2004

Comprehensive (60 minutes) in-home visit for a new patient postdischarge. For use only in a Medicare-approved CMMI model. (Services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility within 90 days following discharge from an inpatient facility and no more than nine times.)

Rates data updated October 2026.

How much does Postdischarge In-Home Visit, New Patient, Comprehensive cost?

$155

Typical negotiated rate. In Florida, October 2026.

Insurers have agreed to pay about $155 for this service. The price depends on where it is billed: about $155 from a physician practice, and about $138 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$155$145 to $162
FacilityA hospital or hospital-owned outpatient department$138$135 to $166

How much rates vary

Facilitymedian $138 · 10th to 90th $132 to $174Professionalmedian $155 · 10th to 90th $120 to $282
$200facility $138professional $155

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$147.91
Median
$154.88
Typical High
$158.49
Aetna
Setting
Professional
Modifier
None
Typical Low
$144.54
Median
$154.88
Typical High
$177.83
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$72.44
Median
$77.62
Typical High
$89.13
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$28.84
Median
$30.90
Typical High
$35.48
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$21.88
Median
$22.91
Typical High
$26.92
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$14.45
Median
$15.49
Typical High
$17.38
AvMed
Setting
Facility
Modifier
None
Typical Low
$131.83
Median
$138.04
Typical High
$173.78
AvMed
Setting
Professional
Modifier
None
Typical Low
$131.83
Median
$165.96
Typical High
$194.98
Cigna
Setting
Facility
Modifier
None
Typical Low
$229.09
Median
$229.09
Typical High
$229.09
Cigna
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Florida Blue
Setting
Professional
Modifier
None
Typical Low
$114.82
Median
$114.82
Typical High
$120.23
Molina
Setting
Professional
Modifier
None
Typical Low
$144.54
Median
$281.84
Typical High
$338.84
United
Setting
Professional
Modifier
None
Typical Low
$134.90
Median
$177.83
Typical High
$295.12
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$162.18
Median
$162.18
Typical High
$162.18

Where Florida sits

The same service costs 2.6 times more in Alaska than in Arizona. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Florida· 34th of 51

$155

AK $316AZ $120

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.